Frenulum Swelling: Causes and Recovery Tips - Urology

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The frenulum of the foreskin is swollen?


I have not undergone circumcision, and I can retract my foreskin to expose the entire glans.
However, after an incident of excessive masturbation, my foreskin retracted and became swollen.
It has mostly healed now, but the frenulum is still somewhat swollen and red, and it hurts when touched.
Will it heal on its own? Is this a rupture of the frenulum? Will it affect my sexual function? Will it recover by itself, and what should I do? Thank you, doctor.

willy, 10~19 year old female. Ask Date: 2006/02/05

Dr. Xu Weikai reply Urology


Willy: Hello, I believe this phenomenon is likely caused by localized inflammation.
I recommend topical treatment with ointment, along with local heat application, which should lead to improvement fairly quickly.
There should be no long-term impact on sexual function, although temporary pain may affect performance.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/02/05

More Info


Frenulum swelling, particularly in the context you've described, can be concerning but is often manageable. The frenulum, or the frenulum of the prepuce, is a sensitive band of tissue located on the underside of the penis that connects the glans (the head of the penis) to the shaft. Swelling and redness in this area can occur due to various reasons, including trauma, irritation, or infection.


Causes of Frenulum Swelling
1. Trauma or Injury: As you mentioned, vigorous sexual activity or masturbation can lead to trauma. This can cause swelling, redness, and pain in the frenulum. If the frenulum was stretched or torn, it may result in localized swelling.

2. Infection: Bacterial or fungal infections can cause inflammation and swelling. Symptoms may include redness, pain, and sometimes discharge.
3. Allergic Reactions: Irritation from soaps, lotions, or condoms can lead to allergic reactions, resulting in swelling and discomfort.

4. Frenulum Breve: This is a condition where the frenulum is shorter than normal, which can lead to tension and pain during erections or sexual activity.


Recovery Tips
1. Rest and Avoidance: It’s essential to give the area time to heal. Avoid any activities that may aggravate the area, such as vigorous sexual activity or masturbation, until the swelling and pain subside.

2. Cold Compress: Applying a cold compress to the area can help reduce swelling and alleviate pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and itching. However, consult with a healthcare provider before applying any medication.

4. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or chemicals that could irritate the skin.

5. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.


Will It Heal on Its Own?
In many cases, minor injuries to the frenulum will heal on their own within a few days to a week. If the swelling and pain persist beyond this timeframe, or if you notice any signs of infection (such as increased redness, warmth, or discharge), it is crucial to seek medical attention.


Is This a Frenulum Tear?
If the swelling is accompanied by significant pain, especially when touched, it could indicate a tear or rupture of the frenulum. A torn frenulum can be painful but usually heals without long-term complications.

Impact on Sexual Function
Generally, a swollen or injured frenulum does not affect sexual ability in the long term. However, if there is significant pain or discomfort during erections or sexual activity, it may impact your sexual experience temporarily.

When to Seek Medical Attention
- If the swelling does not improve within a week.

- If you experience severe pain, bleeding, or signs of infection.

- If you have concerns about the appearance of the frenulum or if it seems to be getting worse.

In conclusion, while it is likely that your frenulum will heal on its own, monitoring the symptoms and taking appropriate care is essential. If you have any doubts or if symptoms worsen, do not hesitate to consult a healthcare professional for a thorough evaluation and tailored advice.

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